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© Copyright 2017 Venture Valuation. All Rights Reserved.
PRODUCT
VALUATION
REPORT GT-002 IN SCHIZOPHRENIA
BY GABATHER AB
Skeppsbron 2, 1TR,
211 20 Malmö,
SWEDEN
Phone: +46 (46) 2863600
Email: [email protected]
URL: www.gabather.com
Date: April 2017 Version: 3.14
Venture Valuation Product Valuation – GT-002 in Schizophrenia 2
© Copyright 2017 Venture Valuation. All Rights Reserved.
CONTENTS
CONTENTS 2
EXECUTIVE SUMMARY 3
INTRODUCTION 7
PRODUCT – GT-002 IN SCHIZOPHRENIA 7
INDICATION OVERVIEW 7
EPIDEMIOLOGY 8
TARGET PATIENT POPULATION 8
PRODUCT OVERVIEW 9
REGULATORY CONSIDERATIONS 9
INTELLECTUAL PROPERTY 9
COMPETITIVE LANDSCAPE 10
GT-002 SALES FORECAST 14
GT-002 PRICING 14
GT-002 SALES FORECAST 14
RISK ANALYSIS 16
RISK ASSESSMENT 16
VALUATION 18
OVERVIEW 18
DISCOUNT RATE 18
RISK-ADJUSTED NPV VALUATION (rNPV) 19
REFERENCES 21
APPENDIX I: GT-002 VALUATION ASSUMPTIONS 22
ABOUT VENTURE VALUATION 24
Venture Valuation Product Valuation – GT-002 in Schizophrenia 3
© Copyright 2017 Venture Valuation. All Rights Reserved.
EXECUTIVE SUMMARY
INTRODUCTION
This valuation was commissioned by Gabather AB (Gabather) to help establish a fair and
equitable value of GT-002, Gabather’s lead product, in the treatment of schizophrenia.
Venture Valuation has calculated the rNPV (risk-adjusted net present value) of GT-002
at the point of CTA approval in Q4 2017 and considering two patent protection
scenarios:
• Scenario 1, based on current patent protection, which covers Europe and Canada
with expiration date of 2029 and the US with expiration date of 2031, as well as
China and India (not included in the analysis); and
• Scenario 2, based on patents currently being prepared for submission, covering
the above geographies, and including Japan, and with an expected priority date in
2017.
PRODUCT
GT-002 is a small molecule GABAA receptor modulator and is initially being developed for
schizophrenia. GT-002 is in preclinical development, with CTA-enabling studies ongoing.
A CTA approval is targeted for Q4 of 2017. Clinical Phase I, single and multiple dose
ascending studies in healthy volunteers, are projected to start in early 2018. GT-002 is
positioned as an innovative therapy initially indicated in the treatment of schizophrenia,
with a novel mechanism of action and the potential for a highly favorable safety profile.
INDICATION
Disease Overview Schizophrenia is a complex, multifactorial and polygenic mental disorder, characterized
by the heterogeneous presence of cognitive symptoms affecting perception, thought,
attention, memory and emotion. It is among the most disabling and economically
catastrophic medical disorders, ranked by the World Health Organization as one of the
top ten illnesses contributing to the global burden of disease.
Symptoms of schizophrenia include positive, negative, cognitive and mood symptoms.
Although there is no cure for schizophrenia, numerous drugs are available for initial and
maintenance therapy, with the goal of controlling symptoms. Second-generation,
atypical antipsychotics are the agents of choice for first line treatment of schizophrenia.
Epidemiology In 2011, schizophrenia was diagnosed in 21 million people worldwide. According to the
WHO, schizophrenia is responsible for 1.1% of total disability adjusted life years, and
absorbs 1.5%-3.0% of all healthcare expenditure in developed countries. In Europe, it is
estimated that there are about 5 million persons with schizophrenia, with a prevalence
of 0.6%-0.8%. The disease affects 1.2% Americans. In 98% of cases disease onset
occurs before the age of 40 years with a slight male predominance.
Target Patient Population
prevalence number of patients 2023E
Europe 0.70% 3.7m
US & Canada 1.20% 4.6m
Japan* 0.54% 676’000
*Japan patients are considered in Scenario 2 only
Venture Valuation Product Valuation – GT-002 in Schizophrenia 4
© Copyright 2017 Venture Valuation. All Rights Reserved.
MARKET
Competitive Landscape Existing competitors: A multitude of antipsychotic products are currently available for
the pharmacological management of schizophrenia, many of which are already available
as inexpensive generics. None of the currently available therapies is curative. There is a
large remaining medical need for novel therapies with enhanced safety profiles, as well
as for therapies effectively addressing negative symptoms.
Upcoming competitors: There are 360 products in the pipeline for conditions associated
with schizophrenia, 60 of which are “first in class”, equating to more than 20% of
products with a disclosed molecular target. Recent market analysis from Globaldata
forecasted that serotonin receptor 5-HT2A antagonists contribute to 36.2% of total
revenues in 2025. Most of the upcoming pipeline clinical compounds are
phosphodiesterase inhibitors.
There is an increasing body of evidence from genetic and post-mortem studies
implicating an altered GABA transmission as a significant component of schizophrenia
pathophysiology. Recent research shows that low CSF GABA levels are associated with
the severity of illness, psychotic symptoms and attention deficits.(11)
Pricing We have based the potential cost of treatment with GT-002 on the average of the annual
costs of treatment with the antipsychotics Latuda, Invega, Invega Sustenna,
Cariprazine, Risperdal Consta, Seroquel & XR, Zyprexa and Abilify.
In SEK annual treatment price
Europe 54’620
US & Canada 68’000
Japan* 68’428
*Japan patients are considered in Scenario 2 only
Sales Forecast The sales forecast of GT-002 in the treatment of schizophrenia assumes:
• Scenario 1: a market launch in 2023 in Europe, in the US and in Canada.
• Scenario 2: market launch in 2023 in Europe, US and Canada, followed by
launch in 2024 in Japan.
Sales forecast GT-002 worldwide (SEKm)
2023 2024 2025 2026 2027 2028 2029 2030 2031 2032
Scenario 1 965.9 3,495.2 7,026.0 8,826.1 12,810.6 17,623.9 19,402.7 17,471.4 15,845.0 11,529.5
Scenario 2 965.9 3,581.7 7,336.0 9,443.6 13,579.4 18,729.5 21,400.9 21,669.6 21,750.0 21,828.7
RISK PROFILE
Included in the probability of success:
• Product Development Risk – rated high;
• Manufacturing Risk – rated low to medium;
• Regulatory/Approval Risk – rated medium to high;
Included in the discount rate:
• IP Risk – rated medium;
• Partnering Risk – rated medium;
Venture Valuation Product Valuation – GT-002 in Schizophrenia 5
© Copyright 2017 Venture Valuation. All Rights Reserved.
• Financing Risk – rated medium;
• Competitive Risk – rated low to medium;
• Pricing and Reimbursement Risk – rated medium;
• Market Uptake Risk – rated low.
See body of the report for details.
KEY ASSUMPTIONS
Variable VV assumptions VV Comments
Patient population Schizophrenia patients
eligible for antipsychotic
treatment
Includes patients from first-break onward.
Markets Scenario 1: Europe, US and
Canada
Scenario 2: Europe, US,
Canada and Japan
Includes countries covered by patent protection, excluding
China and India.
Launch year Scenarios 1 and 2: 2023 in
Europe, US and Canada
Scenario 2: 2024 in Japan
Assuming 7 years of development for Europe and the USA
and Canada starting in 2017 (Scenarios 1 and 2), and 4
years of parallel development in Japan starting in 2020,
after Europe/US Phase IIb (Scenario 2).
Market share 10% Upside potential will be realized provided that the safety
profile is clearly superior to current generic treatments,
and provided there is efficacy in the treatment of negative
symptoms.
Peak sales Scenario 1:
Europe: SEK 7.6bn (2029)
US & Canada: SEK 12.4bn
(2030)
Scenario 2:
Europe: SEK 7.6bn (2029)
US & Canada: SEK 13.1bn
(2038)
Japan: SEK 1.7bn (2030)
Scenario 1: Peak sales will be reached at the patent
expiration date of 2029 in Europe, and in 2030 in US and
Canada where patent life expires in 2031 and 2029
respectively.
Scenario 2: Peak sales will be reached at the point of
population peak in 2029 in Europe and 2030 in Japan, and
at the point of patent expiration in 2038 in US and Canada.
Cumulative probability of
success (6)
7% As determined for preclinical stage products in
development for the treatment of diseases in the
Neurology/Psychiatry field.
Cost of development Scenario 1:
SEK 792m
Scenario 2:
SEK 1.16bn
Includes cost of development in Europe, USA and Canada
(Scenarios 1 and 2) and Japan (Scenario 2).
Discount rate (%) 20% Typical for early-stage products.
Venture Valuation Product Valuation – GT-002 in Schizophrenia 6
© Copyright 2017 Venture Valuation. All Rights Reserved.
VALUATION GT-002 in the treatment of Schizophrenia
Value Range The value range for GT-002 was determined using the rNPV (risk adjusted Net Present
Value) method.
We note that, the product value will only then be retained in full by Gabather if they
market the product themselves in all geographies included in the current valuation. In
the event of a licensing agreement, the product value will be shared between the
licensor and the licensee, at a ratio what will be determined by the licensing
negotiations.
This results in a present value for GT-002 of SEK 226m in Scenario 1 and SEK 335m in
Scenario 2.
Product Valuation Discount rate
in SEKm 22% 21% 20% 19% 18%
Scenario 1 169.5 196.0 225.9 259.5 297.3
Scenario 2 253.2 291.7 335.3 384.6 440.6
Venture Valuation Product Valuation – GT-002 in Schizophrenia 7
© Copyright 2017 Venture Valuation. All Rights Reserved.
INTRODUCTION
Professional
background
This report was prepared by Venture Valuation VV AG (Venture Valuation), a company
that specializes in the independent assessment and valuation of Life Sciences (biotech,
pharma, and medtech) companies and products. Additional information on the company
is available at the back of this report.
Assignment Venture Valuation was asked by Gabather AB (Gabather) to provide an independent,
third party valuation of GT-002, the company’s lead product. We calculated the value of
GT-002 at the point of CTA approval in Q4 2017 and considering two patent protection
scenarios:
• Scenario 1, based on current patent protection, which covers Europe and Canada
with expiration date of 2029 and the US with expiration date of 2031, as well as
China and India (not included in the analysis); and
• Scenario 2, based on patents currently being prepared for submission, covering
the above geographies, and including Japan, and with expected priority date of
2017.
Assumptions All of the assumptions that were made are set out in the body of this report. If any of
these assumptions change, the valuation represented herein may change.
Information In certain instances, we have relied on information provided by Gabather AB, and have
not been able to verify or audit the information received. Wherever possible, we have
tried to base the opinion set out in the report on our own research and independent
sources.
Statement of
Independence
This report is based on an independent opinion of Venture Valuation. Our fee in this
case is not dependent on the outcome of the value.
PRODUCT – GT-002 IN SCHIZOPHRENIA
INDICATION OVERVIEW Schizophrenia is a complex, multifactorial and polygenic mental disorder, characterized
by the heterogeneous presence of cognitive symptoms affecting perception, thought,
attention, memory and emotion. It is among the most disabling and economically
catastrophic medical disorders, ranked by the World Health Organization as one of the
top ten illnesses contributing to the global burden of disease (12). Several complex
factors including environmental, social and genetic background are thought to
contribute to the development of schizophrenia.
Symptoms of schizophrenia include positive, negative, cognitive and mood symptoms.
Positive symptoms consist of hallucinations, delusions, and thought disorders while
negative symptoms include apathy, lack of emotions, poverty of speech and poor social
life. Cognitive symptoms comprise poor executive functions and disorganized thoughts.
There is no known single cause underlying schizophrenia. Anatomic, neurotransmitter,
and immune system abnormalities have been implicated in the pathophysiology of the
disease.
Although there is no cure for schizophrenia, numerous drugs are available for initial
and maintenance therapy, with the goal of controlling symptoms. According to the
Venture Valuation Product Valuation – GT-002 in Schizophrenia 8
© Copyright 2017 Venture Valuation. All Rights Reserved.
American Psychiatric Association, second-generation (atypical) antipsychotics (with
the exception of clozapine due to its risk for causing agranulocytosis or seizures) are
the agents of choice for first-line treatment of schizophrenia, as they are associated
with fewer extrapyramidal symptoms (3).
Since cognitive and negative symptoms rather than positive symptoms are more closely
associated with psychosocial impairments in patients with schizophrenia, non-
dopaminergic mechanisms including serotonin, glutamate, gamma-amino-butyric acid
(GABA), acetylcholine, inflammation and oxidative stress have been proposed as
potentially promising therapeutic targets. Long-acting injectable (LAI) antipsychotic
medications offer a viable option for patients who are non-compliant with an oral
medication (10).
EPIDEMIOLOGY
In 2011, schizophrenia was diagnosed in 21 million people worldwide (WHO factsheet)
(15). According to the WHO, schizophrenia is responsible for 1.1% of total disability
adjusted life years, and absorbs 1.5%-3.0% of all healthcare expenditure in developed
countries. In Europe, it is estimated that there are about 5 million persons with
schizophrenia, with a prevalence of 0.6%-0.8%. The disease affects 1.2% Americans. In
98% of cases disease onset occurs before the age of 40 years with a slight male
predominance (2).
Studies have found that incidence of schizophrenia increases in the teen years and
reaches a peak of vulnerability between the ages of 16 and 25 years. The pattern of
susceptibility to symptoms differs in men and women. Males are more vulnerable to
develop schizophrenia between the ages of 18 and 25 years where female vulnerability
peaks twice: first between 25 and 30 years, and then again around 40 years of age
(9),(12).
Most schizophrenia patients (approximately 80-90%) experience a relapse during the
course of their illness. Approximately 10-30% of patients are treatment resistant. The
largest unmet medical needs relate to therapies addressing: Cognitive dysfunction;
negative symptoms (such as lethargy, apathy, and social withdrawal); refractory
patients; adverse events; and lack of compliance (3).
TARGET PATIENT POPULATION
The projected target patient population for GT-002 is outlined below.
Country prevalence
Population
that receives
a
prescription
Compliance
rate (1),(7),
(8)
Market
share
Initial pool
of patients
(14)
Europe 0.70%
75% 50% 10%
139’000
US and
Canada 1.20% 172’000
Japan* 0.54% 25’000
*Japan patients are considered in Scenario 2 only
Venture Valuation Product Valuation – GT-002 in Schizophrenia 9
© Copyright 2017 Venture Valuation. All Rights Reserved.
PRODUCT OVERVIEW
There is an increasing body of evidence from genetic and post-mortem studies
implicating an altered GABA transmission as a significant component of schizophrenia
pathophysiology (10). Recent research shows that low CSF GABA levels are associated
with the severity of illness, psychotic symptoms and attention deficits (11).
The GABA receptors are a class of receptors that respond to the neurotransmitter
gamma-aminobutyric acid, the main inhibitory neurotransmitter in the mature
vertebrate central nervous system. GABA receptors influence learning, memory, sleep
regulation, pain, anxiety, epilepsy, muscle tension, and various forms of dependence.
GABAA receptors are the most common receptors for GABA and are ligand gated ion
channels that can be found in various areas of the brain. Benzodiazepines, such as
diazepam (Valium) and clonazepam (Rivotril), as well as barbiturates, are well known
therapeutic molecules that target the GABAA receptor.
GT-002, a small molecule, is a positive allosteric modulator of the GABAA receptor. GT-
002 in-vitro was demonstrated to be highly selective for GABAA, and when evaluated in
animal models of psychosis and anxiety, did not have sedative or convulsive side
effects, while showing promising therapeutic efficacy.
GT-002 is initially being developed in the treatment of schizophrenia; follow on
indications could include bipolar disorder, depression, and others. For the purposes of
this valuation, we have focused on schizophrenia as the lead indication.
Product Development
and Timeline
GT-002 is in preclinical development, with IND-enabling studies ongoing. A CTA approval
is targeted for Q4 of 2017. Clinical Phase I, single and multiple dose ascending studies
in healthy volunteers, are projected to start in early 2018.
GT-002 in the treatment of schizophrenia is expected to follow a traditional drug
development path.
Product Positioning GT-002 is positioned as an innovative therapy initially indicated in the treatment of
schizophrenia, with a novel mechanism of action and the potential for a highly favorable
safety profile. The molecule’s potency will likely be comparable with the potency of
diazepam, but with a clearly distinct mechanism of action.
Manufacturing GT-002 will be available in both IV and oral formulations. Gabather is currently working
on formulating GT-002 in tablet form, and is completing scale-up and cGMP grade
manufacturing runs.
REGULATORY CONSIDERATIONS
Gabather will begin discussing the upcoming CTA submission and clinical development
plans for GT-002 with the European authorities in June 2017.
INTELLECTUAL PROPERTY
GT-002 is protected by a family of composition of matter “chemistry” patents that has
been issued in the US, Canada, China, India and in Europe. Projected expiration dates
are 2029 and 2031.
Venture Valuation Product Valuation – GT-002 in Schizophrenia 10
© Copyright 2017 Venture Valuation. All Rights Reserved.
Gabather is also in the process of filing an additional patent to cover innovations in
formulation related to GT-002, among others. The new patent will also be filed in Japan.
COMPETITIVE LANDSCAPE
Existing Competitors
A multitude of antipsychotic products are currently available for the pharmacological
management of schizophrenia, many of which are already available as inexpensive
generics. None of the currently available therapies is curative. There is a large
remaining medical need for novel therapies with enhanced safety profiles, as well as for
therapies effectively addressing negative symptoms.
The following table summarizes the top-5 drugs for schizophrenia based on their sales
in 2016.
Product Company Indications Mechanism of action Administration and
Dosage
Sales 2016
(USD Million)
Invega
Sustenna
(Paliperidone
palmitate)
Johnson &
Johnson
Schizophrenia,
Schizoaffective
Disorder
5-HT2A Receptor
Antagonist, Dopamine
D2 Receptor Antagonist
Intramuscular
(Recommended monthly
maintenance dose is 117
mg in adults)
2,214
Abilify
(Aripiprazole)
Bristol-Myers
Squibb, H.
Lundbeck A/S,
Otsuka
Pharmaceutical
Co Ltd
Schizophrenia,
Tourette Syndrome,
Autism; Bipolar I,
Major Depressive
Disorder
5-HT Reuptake Inhibitor,
5-HT1A Receptor Partial
Agonist, 5-HT2A
Receptor Antagonist,
Dopamine D2 Receptor
Partial Agonist
Intramuscular, Oral
(10-15mg/day in
adolescents and adults)
1,697
Latuda
(Lurasidone
hydrochloride)
Sunovion
Pharmaceuticals
Inc
Schizophrenia,
Bipolar I
5-HT2A Receptor
Antagonist,
5-HT7 Receptor
Antagonist, Dopamine
D2 Receptor Antagonist
Oral (40 to 160 mg /day in
adolescents and adults)
911
Risperdal
(Risperidone)
Johnson &
Johnson
Schizophrenia,
Autism,
Bipolar disorders,
Bipolar I,
Psychiatric
disorders
5-HT2A Receptor
Antagonist, Dopamine
D2 Receptor Antagonist
Intramuscular, Oral (4-16
mg/day in adults; 1-6
mg/day in Adolescents)
893
Seroquel
(Quetiapine
fumarate)
Astellas Pharma
Inc, AstraZeneca
Schizophrenia,
Bipolar disorders,
Bipolar I,
Generalized Anxiety
Disorder,
Major Depressive
Disorder
5-HT2 Receptor
Antagonist, Dopamine
D2 Receptor Antagonist
Oral (10-750mg/day in
adults; 400-800mg/day in
Adolescents)
810
Upcoming Competitors
Late-stage pipeline compounds:
Growth in the schizophrenia market likely will be driven by the potential introduction of
the promising late-stage pipeline products, which are directed towards significant
unmet needs.
Venture Valuation Product Valuation – GT-002 in Schizophrenia 11
© Copyright 2017 Venture Valuation. All Rights Reserved.
Promising example compounds include:
• ALKS-3831, a fixed-dose combination of samidorphan, a mu-opioid receptor
antagonist, and the atypical antipsychotic drug olanzapine, is expected to be
launched in the U.S. in the third quarter of 2019.
• AVN-211 has received attention as a potential adjunctive treatment for the
cognitive impairments associated with schizophrenia.
• ITI-007 is expected to be launched in the U.S. in the first half of 2018 if it gains
FDA approval for the treatment of patients with acute or residual
schizophrenia.
• Lu AF35700 is expected to reduce the occurrence of adverse events
associated with the use of several antipsychotics, including extrapyramidal
symptoms, elevated prolactin levels, dysphoria/anhedonia, and depressed
mood.
• RBP-7000, a monthly sustained-release formulation of risperidone, is
expected to launch in the fourth quarter of 2017 for acute and maintenance
treatment of patients with schizophrenia.
• BB0817, a non-biodegradable, drug-eluting implant, is designed to deliver
risperidone for maintenance treatment of schizophrenia patients. NaBen,
sodium benzoate, showed greater improvements in negative symptoms and
cognitive deficits in a Phase II study and is currently being evaluated in Phase
III by SyneuRx and National Institute of Health.
In the table below we outline compounds for the treatment of schizophrenia that are
currently in Phase III development.
Product
name
Company name Molecule
type
Mechanism of action Route of
administration
ALKS3831 Alkermes plc Small (5-HT2A) Receptor Antagonist,
Dopamine D2 Receptor Antagonist,
Opioid Receptor Antagonist
Oral
AVN211 Avineuro Pharmaceuticals Inc
Small 5-HT6 Receptor Antagonist Oral
BB0817 Endo International plc, Braeburn
Pharmaceuticals
Small 5-HT2A Receptor Antagonist,
Dopamine D2 Receptor Antagonist
Subcutaneous
DSP5423P Sumitomo Dainippon Pharma Co Ltd
N/A Unknown Percutaneous
HP3070 Hisamitsu Pharmaceutical Co Inc,
Noven Pharmaceuticals Inc
N/A Unknown Transdermal
ITI007 Intra-Cellular Therapies Inc Small 5-HT2A Receptor Antagonist,
Dopamine D2 Receptor Antagonist,
Dopamine D2 Receptor Partial Agonist
Oral
LuAF35700 H. Lundbeck A/S N/A 5-HT2A Receptor Antagonist,
5-HT6 Receptor Antagonist,
Dopamine D1 Receptor Antagonist,
Dopamine D2 Receptor Antagonist
Oral
LY03004 Luye Pharma Group Ltd Small 5-HT2A Receptor Antagonist,
Dopamine D2 Receptor Antagonist
Intramuscular
Naben SYNEURX INTERNATIONAL CORP
Small D-amino acid oxidase inhibitor Oral
RBP7000 Indivior PLC, Reckitt Benckiser plc
Small 5-HT2A Receptor Antagonist,
Dopamine D2 Receptor Antagonist
Subcutaneous
ALKS3831 Alkermes plc Small 5-HT2A Receptor Antagonist,
Dopamine D2 Receptor Antagonist,
Opioid Receptor Antagonist
Oral
Venture Valuation Product Valuation – GT-002 in Schizophrenia 12
© Copyright 2017 Venture Valuation. All Rights Reserved.
Upcoming Competitors Contd.
Pipeline segmentation:
There are 360 products in the pipeline for conditions associated with schizophrenia, 60
of which are “first in class”, equating to more than 20% of products with a disclosed
molecular target (13). Recent market analysis from Globaldata forecasted that
serotonin receptor 5-HT2A antagonists will contribute to 36.2% of total revenues in
2025 (17). Most of the upcoming pipeline clinical compounds are phosphodiesterase
inhibitors.
The following table segments the pipeline compounds based on their distinct mechanism
of action in schizophrenia.
Product
name
Company name Development
Phase
Molecule
type
Mechanism of action Route of
administration
ALKS3831 Alkermes plc
Phase III Small 5-HT2A Receptor Antagonist Oral
AVN211 Avineuro
Pharmaceuticals Inc
Phase III Small 5-HT6 Receptor Antagonist Oral
ADX71149 Addex Therapeutics Phase II Small Glutamate Receptor, Metabotropic 2
(GRM2) Positive Allosteric Modulator
Oral
AQW051 Novartis AG Phase II Small Alpha7 Neuronal Nicotinic Receptor
(NNR) Agonist
Oral
AVP786 Rottapharm SpA Phase II Small N-Methyl-D-Aspartate (NMDA)
Receptor Antagonist
Oral
F17464 Pierre Fabre SA
Phase II Unknown 5-HT1A Receptor Partial Agonist Oral
GSK239512 GlaxoSmithKline plc
Phase II Small Histamine H3 Receptor Antagonist Oral
GWP42003 GW Pharmaceuticals
plc
Phase II Small Cannabinoid CB2 Receptor Agonist Oral
Idazoxan
Pierre Fabre SA Phase II Small Alpha-2 Adrenergic Receptor
(ADRA2) Antagonist
Oral
MK0777 Merck & Co Inc Phase II Unknown Gamma-Aminobutyric Acid Type A
(GABAA) Receptor Agonist
Oral
NE100 Taisho
Pharmaceutical Co
Ltd
Phase II Small Sigma1 Receptor Antagonist Unknown
NTx028 Trillium Therapeutics
Inc
Phase II Large Erythropoietin (EPO) Receptor
Agonist
Unknown
NW3509 Newron
Pharmaceuticals SpA
Phase II Small Sodium Channel, Voltage-Gated, Type
III, Alpha Subunit (SCN3A) Blocker
Oral
RG1662 Roche Phase II Small Gamma-Aminobutyric Acid A
Receptor, Alpha 5 (GABRA5) Negative
Allosteric Modulator
Oral
SB223412 GlaxoSmithKline plc Phase II Small Neurokinin NK3 Receptor Antagonist
Oral
SCH900435 Merck & Co Inc Phase II Small Glycine Transporter-1 (GLYT1)
Inhibitor
Oral
Venture Valuation Product Valuation – GT-002 in Schizophrenia 13
© Copyright 2017 Venture Valuation. All Rights Reserved.
TAK063 Takeda
Pharmaceutical
Company Limited
Phase II Small Phosphodiesterase-10A (PDE-10A)
Inhibitor
Oral
Arvisol Echo
Pharmaceuticals BV
Phase I Small Cannabinoid CB1 Receptor Antagonist Unknown
BI409306 Boehringer Ingelheim
GmbH
Phase I Unknown Phosphodiesterase 9A (PDE9A)
Inhibitor
Unknown
HTL9936 Heptares
Therapeutics
Phase I Small Muscarinic M1 Receptor Agonist Oral
Upcoming Competitors Contd.
GABA Modulators in Schizophrenia and other CNS indications:
There is an increasing body of evidence from genetic and post-mortem studies
implicating an altered GABA transmission as a significant component of schizophrenia
pathophysiology. Recent research shows that low CSF GABA levels are associated with
the severity of illness, psychotic symptoms and attentional deficits (11).
The below table summarizes the clinical status of various GABA modulators in
Schizophrenia and associated CNS disorders.
Product Company Indication Development
Phase
Mechanism of
action
Molecule type Administration
SAGE 547 Sage
Therapeutics
Depression,
Status
Epilepticus
Phase III GABAA Receptor
Positive
Allosteric
Modulator
Small Intravenous
Lorediplon Grupo Ferrer
Internacional SA
Insomnia Phase III GABAA Receptor
Modulator
Small Oral
RG 1662 Roche Schizophrenia,
Ischemic stroke
Phase II GABAA
Receptor, Alpha
5 (GABRA5)
Negative
Allosteric
Modulator
Small Oral
ASP 8062 Astellas Pharma
Inc
Fibromyalgia Phase II GABAB Receptor
Positive
Allosteric
Modulator
NA Oral
EVT 201 Evotec AG Insomnia Phase II GABAA Receptor
Positive
Allosteric
Modulator
Small Oral
Ganaxolone Marinus
Pharmaceuticals
Inc
Epilepsy, Post-
Traumatic
Stress
Disorder, West
Syndrome
Phase II GABAA Receptor
Modulator
Small Intravenous,
Oral
PF 06372865 Pfizer Inc Epilepsy, Non
Nociceptive Pain
Phase II GABAA Receptor
Modulator
NA Oral
Venture Valuation Product Valuation – GT-002 in Schizophrenia 14
© Copyright 2017 Venture Valuation. All Rights Reserved.
SAGE 217 Sage
Therapeutics
Depression,
Major
Depressive
Disorder,
Parkinson's
Disease
Phase II GABAA Receptor
Positive
Allosteric
Modulator
Small Intravenous
CPP 115 Catalyst
Pharmaceuticals
Complex Partial
Seizures, Post-
Traumatic
Stress
Disorder,
Tourette
Syndrome, West
Syndrome
Phase I GABAA Receptor
Modulator
Small Oral
AP 325 Algiax
Pharmaceuticals
GmbH
Neuropathic
Pain, Spinal
Cord Injuries
Phase I GABAA Receptor
Modulator
Small Oral
Market Share Based on our analysis, there are currently over 50 new therapeutic products in
different stages of development for schizophrenia, of which 11 are in Phase III clinical
development. Thus we can safely assume an increasing competition in the future, with
new products coming to the market. Based on the pipeline, we could see 5 to 6 new
products on the market within 3 to 5 years. This risk has been taken into account in the
market share.
GT-002 SALES FORECAST
GT-002 PRICING
We have based our estimates on the average annual costs of treatment with the
antipsychotics Latuda, Invega, Invega Sustenna, Cariprazine, Risperdal Consta, Seroquel
& XR, Zyprexa and Abilify.
In SEK Annual treatment price with GT-002
Europe 54,619
USA & Canada 68,000
Japan* 68’428
*Japan patients are considered in Scenario 2 only
GT-002 SALES FORECAST
Sales are projected assuming a market entry in 2023 for the US, Canada and Europe
(Scenarios 1 and 2) and in 2024 in Japan (Scenario 2).
Venture Valuation Product Valuation
GT-002 SALES FORECAST – SCENARIO 1
SEKm 2023 2024
Europe 380.4 1,370.2
USA & Canada 585.5 2,125.0
Total 965.9 3,495.2
GT-002 SALES FORECAST – SCENARIO 2
SEKm 2023 2024
Europe 380.4 1,370.2
USA & Canada 585.5 2,125.0
Japan 0.0 86.4
Total 965.9 3,581.7
MARKET UPTAKE FOR GT-002 IN THE TREATMENT OF
MARKET UPTAKE FOR GT-002 IN THE TREATMENT OF SCHIZOPHRENIA
Product Valuation – GT-002 in Schizophrenia
© Copyright 2017 Venture Valuation. All Rights Reserved.
SCENARIO 1
2024 2025 2026 2027 2028
1,370.2 2,741.7 3,428.1 4,952.2 6,780.4
2,125.0 4,284.2 5,398.0 7,858.4 10,843.5
3,495.2 7,026.0 8,826.1 12,810.6 17,623.9
SCENARIO 2
2024 2025 2026 2027 2028
1,370.2 2,741.7 3,428.1 4,952.2 6,780.4
2,125.0 4,284.2 5,398.0 7,858.4 10,843.5
86.4 310.0 617.6 768.8 1,105.7
3,581.7 7,336.0 9,443.6 13,579.4 18,729.5
IN THE TREATMENT OF SCHIZOPHRENIA – SCENARIO 1
002 IN THE TREATMENT OF SCHIZOPHRENIA – SCENARIO 2
15
2029 2030
7,616.7 5,101.4
11,786.0 12,370.0
19,402.7 17,471.4
2029 2030
7,616.7 7,614.0
12,277.1 12,370.0
1,507.1 1,685.6
21,400.9 21,669.6
Venture Valuation Product Valuation – GT-002 in Schizophrenia 16
© Copyright 2017 Venture Valuation. All Rights Reserved.
RISK ANALYSIS
RISK ASSESSMENT
Risk Factors
Below we summarize the risk factors, as we see them associated with GT-002. Risks
are presented as product development specific risks and non-product development
specific risks.
We note that, product specific risks are reflected in a direct risk adjustment as part of
the rNPV method, whereas non-product specific risks are reflected in the overall
discount rate.
The risk ratings used are designated as low (lower than average as compared to similar
products), medium (average), and high (higher than average).
Product Development
Specific Risks
We see the key product development specific risks as follows:
Product Development Risk:
• Risk Rating – high. Largely due to early development stage, but mitigated by
promising proof of concept results in animal models.
Manufacturing Risk:
• Risk Rating – low to medium. Largely due to the fact that GT-002 is a small
molecule and manufacturing is typically straight forward.
Regulatory/Approval Risk:
• Risk Rating – medium to high. Largely due to novel mechanism of action, risk
will decrease to medium once positive clinical safety and efficacy become
available.
Non-Product
Development Specific
Risks
We see the key non-product development specific risks for GT-002 as follows:
Intellectual Property (IP) Risk:
• Risk Rating – medium. Due to limited limited patent life for issued patents. This
is mitigated to medium to low, once additional patent filings progress in their
path to approval.
Partnering Risk:
• Risk Rating – medium. Largely due to high interest from large Pharma
companies to add innovative products to their antipsychotic products portfolio.
Financing Risk:
• Risk Rating – medium. Largely due to the fact that Gabather is a listed company
with access to public capital markets.
Competitive Risk:
• Existing competitive risk: low to medium. Due to the limited market availability
of effective and safe treatment options for schizophrenia.
• Upcoming competitive risk: low to medium. Due to novel mechanism of action,
potential for superior safety, some promising late stage examples, and highly
limited competitors based on GABA.
Venture Valuation Product Valuation – GT-002 in Schizophrenia 17
© Copyright 2017 Venture Valuation. All Rights Reserved.
Pricing and Reimbursement Risk:
• Risk Rating – medium. Due to the fact that new effective and safe antipsychotic
drugs are likely to receive reimbursement approval, provided the target price
is backed by positive clinical trial results.
Market Uptake Risk:
• Risk Rating – low in the short term, driven by the unmet need for a therapeutic
product in schizophrenia with superior safety and efficacy profile. In the long
run, market uptake will be shaped by the safety/efficacy of earlier stage
products currently in development.
Venture Valuation Product Valuation – GT-002 in Schizophrenia 18
© Copyright 2017 Venture Valuation. All Rights Reserved.
VALUATION
OVERVIEW
Methods used The risk-adjusted Net Present Value (rNPV) was used to provide an objective
assessment of the value of GT-002 in the treatment of schizophrenia.
rNPV/Risk-Adjusted
NPV
The most appropriate method to value pharmaceutical/biotechnology products is the
risk-adjusted net present value (rNPV) method that factors in the success rate of
therapeutic products in development. These success rates are then used to discount
yearly free cash flows for the entire product lifetime. The full assumptions for the
expected revenues from GT-002 in schizophrenia are described in the following
sections.
Deal Value Split In the event of a licensing agreement, the product value will be shared between the
licensor and the licensee. The deal split in this case will be determined as part of the
licensing negotiations (5).
We note that the product value will only then be retained in full by Gabather if they
market the product themselves in all geographies included in the current valuation. For
the purpose of this report, and, as requested by Gabather, we have only included the full
value of the product.
DISCOUNT RATE
Product specific risks Taking into consideration the stage of development and the cumulative success rate of
GT-002 in schizophrenia, the probability of a product launch has been determined to be
7%.
Success rate (6)
Phase Ia Ph Ib/IIa Ph IIb Ph III Approval
Probability of
Success 60% 71% 32% 63% 82%
Cumulative
POS 43% 14% 9% 7%
Non-product specific
risks at 20%
The non-product specific risks take into account that for the rNPV, the attrition risk of
each phase (including the post-marketing phase), has already been included in the risk
adjustment. Thus the discount rate only includes risks that are not directly associated
with the development of an individual product. We set this risk at 20%.
Discount rate for rNPV
Risk free rate of return (16) 0.21 %
Systematic risk (4) 3.60 %
Non product specific risks 16.20 %
Discount rate 20.00 %
Venture Valuation Product Valuation – GT-002 in Schizophrenia 19
© Copyright 2017 Venture Valuation. All Rights Reserved.
Discount rate based on
CAPM
Our calculation of the discount rate is based on the Capital Asset Pricing Model (CAPM).
The CAPM provides a way to compute Cost of Capital, based on rates of return on debt
and equity. Its uses the risk free rate of return as a basis and adds the systematic risk.
We also add the non-product specific risk as described above.
RISK-ADJUSTED NPV VALUATION (rNPV)
Calculation based on
development plan
The figures for the rNPV calculation were based on information researched by Venture
Valuation or provided by Gabather, and adjusted by Venture Valuation. By determining
the potential development costs and market revenues of GT-002 using the rNPV method
the value of GT-002 in schizophrenia was calculated.
A median discount rate of 20%, and a range from 18% to 22% for sensitivity analysis
were used.
Venture Valuation Product Valuation – GT-002 in Schizophrenia 20
© Copyright 2017 Venture Valuation. All Rights Reserved.
VALUATION OF GT-002 IN THE TREATMENT OF SCHIZOPHRENIA
Product valuation SEK
226m in Scenario 1
and SEK 335m in
Scenario 2
In Scenario 1, the full value of GT-002 is between SEK 170m and SEK 297m. Using a
discount rate of 20%, the average value is SEK 226m.
In Scenario 2, the full value of GT-002 is between SEK 253m and SEK 441m. Using a
discount rate of 20%, the average value is SEK 335m.
Product Valuation Discount rate
In SEK 000’s 22% 21% 20% 19% 18%
rNPV Scenario 1 169.5 196.0 225.9 259.5 297.3
rNPV Scenario 2 253.2 291.7 335.3 384.6 440.6
Copyright © 2017 Venture Valuation VV Ltd. All rights reserved. This report is provided for information purposes only. Under no circumstances is it to be used or considered as an offer, solicitation, or recommendation to sell, or a solicitation of any offer to or buy any security. While the information contained herein has been obtained from sources deemed reliable, Venture Valuation VV Ltd (i) makes no guarantees that it is accurate, complete, timely, or contains the correct sequencing of the information, or (ii) make any warranties with regard to the results to be obtained from its use, and (iii) shall have no liability for any claims, losses or damages arising from or occasioned by any inaccuracy, error, delay, or omission, or from use of the report or actions taken in reliance on the information contained in the report. Reproduction or redistribution of this report in any form is prohibited except with written permission. The providers of this report make it explicitly public in the report, if a position in the securities discussed herein is held.
Venture Valuation Product Valuation – GT-002 in Schizophrenia 21
© Copyright 2017 Venture Valuation. All Rights Reserved.
REFERENCES
Meeting: Telephone discussions with the client, 6th April 2017.
Documents Provided/Considered:
Gabather’s company presentation dated 20th March 2017.
Gabather’s “Market and competitor report-2”.
Gabather patent overview.
Internal and External Databases:
Company, Product and deal database: Biotechgate.
External proprietary databases.
Articles/Reviews:
1. Acosta FJ, et al. “Medication adherence in schizophrenia. World Journal of
Psychiatry”. 2(5):74-82; 2012.
2. Altamura C., et al. “Schizophrenia today: epidemiology, diagnosis, course and
models of care”. Journal of Psychopathology, 20:223-243, 2014.
3. Fellner, Chris, “New Schizophrenia Treatments Address Unmet Clinical Needs”.
P&T Community P.T. 2017; 42(2): 130-134.
4. Frei, Patrik, “Assessment and Valuation of high growth companies”, Haupt
Verlag, 2006
5. Frei, P. and Peire, A., “What is the value of a deal?”; BioPharma Dealmakers,
Nature Publishing Group, B27-28; 2016
6. Hay, M. et al., “Clinical development success rates for investigational drugs”,
Nature Biotechnology, 32, 40–51, 2014.
7. Higashi K, et al., “Medication adherence in schizophrenia: factors influencing
adherence and consequences of nonadherence, a systematic literature review”.
Therapeutic Advances in Psychopharmacology, 3(4):200-218; 2013.
8. Lacro JP, et al., “Prevalence of and risk factors for medication nonadherence
in patients with schizophrenia: a comprehensive review of recent literature”. J
Clin Psychiatry, 63:892–909; 2002.
9. Lynskey, M.T. and Strang, J., “The global burden of drug use and mental
disorders”. The Lancet. Bol 382, No. 9904, p1540-1542; 2013.
10. Mueller, T.M., et al., “Abnormal subcellular localization of GABAA receptor
subunits in schizophrenia brain”. Translational Psychiatry, Volume 5, e612;
2015.
11. Orhan, F., et al., “CSF GABA is reduced in first-episode psychosis and
associates to symptom severity.” Molecular Psychiatry, 2017 Mar 14. doi:
10.1038/mp.2017.25.
12. Whiteford H.A., et al., “Global Burden of Disease Attributable to Mental and
Substance use Disorders: Findings from the Global Burden of Disease Study
2010”. Lancet, 382 (9904):1575-86. Epub 2013 Aug 29.
URLs:
13. https://www.dddmag.com/news/2016/04/direction-schizophrenia-drug-
pipeline
14. www.census.gov/data/data-tools.html
15. www.who.int/mental_health/managemetn/schizo-phrenia/en/
16. markets.ft.com/Research/Markets/Bonds
http://www.fastmr.com/prod/1258834_pharmapoint_schizophrenia.aspx
Venture Valuation Product Valuation – GT-002 in Schizophrenia 22
© Copyright 2017 Venture Valuation. All Rights Reserved.
APPENDIX I: GT-002 VALUATION ASSUMPTIONS
Criteria Value Reference
Patent expiration Scenario 1:
Europe & Canada: 2029
U.S.: 2031
Scenario 2:
Europe, Canada, US, Japan:
2028
Gabather/ VV assumption
Patient population Schizophrenia patients eligible
for antipsychotic treatment
Gabather/ VV assumption
Prevalence rate Europe: 0.7%
US & Canada: 1.2%
Japan: 0.54%
WHO
Market share 10%
VV assumption, driven by
presence of generics and other
competitors
Price annual treatment (SEK) Europe: 54,619
US & Canada: 68,000
Japan: 68’428
Based on the average of the
annual costs of treatment with
the antipsychotics Latuda,
Invega, Invega Sustenna,
Cariprazine, Risperdal Consta,
Seroquel & XR, Zyprexa and
Abilify
Peak sales Scenario 1 (2029): SEK 19.4bn
Scenario 2 (2038): SEK 22.3bn
Model estimate
Total sales (2023-2040) Scenario 1: SEK 145bn
Scenario 2: SEK 300bn
Model estimate
Key expenses for the product valuation
Expense Value Reference
Clinical & Manufacturing expenses
(SEKm)
Scenarios 1 and 2:
Europe, US & Canada:
Phase I (9 months): 1.9
Phase Ia (3 months): 9.6
Phase Ib/IIa (12 months): 48
Venture Valuation assumption
Venture Valuation Product Valuation – GT-002 in Schizophrenia 23
© Copyright 2017 Venture Valuation. All Rights Reserved.
Phase IIb (12 months): 240
Phase III (24 months): 480
Approval (18 months): 14.4
Scenario 2:
Japan:
Phase IIb (12 months): 120
Phase III (24 months): 240
Approval (12 months): 9.6
Launch date Europe, US & Canada: 2023
(Scenarios 1 and 2)
Japan: 2024 (Scenario 2)
Venture Valuation estimate
COGS (% of revenue) 15%
Venture Valuation estimate
Sales & Marketing (% of revenue) 25%
Venture Valuation estimate
Discounts, Returns and Allowances
(% of revenue)
5% Venture Valuation estimate
G&A (% of revenue)
5% Venture Valuation estimate
Tax rate 23.5% OECD average
Venture Valuation Product Valuation – GT-002 in Schizophrenia 24
© Copyright 2017 Venture Valuation. All Rights Reserved.
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